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I-693, Report of Medical Examination and Vaccination Record

Purpose of Form

Generally, all applicants filing for adjustment of status to that of a lawful permanent resident must submit Form I-693 completed by a designated civil surgeon. Form I-693 is used to report results of a medical examination to USCIS. The examination is required to establish that an applicant is not inadmissible to the United States on public health grounds.

A list of those health grounds can be found in section 212(a)(1) of the Immigration and Nationality Act.

Number of Pages

Form 5; Instructions 9.

Edition Date

01/15/13. (10/11/11 edition also still accepted.)

Where to File

After completion of the medical examination, the civil surgeon is required to give you, the applicant, the completed Form I-693 in a sealed envelope. Do not accept it if it is not in a sealed envelope. USCIS will return the form to you if it is not in a sealed envelope or if the envelope has been opened or altered.

It is the applicant’s responsibility to submit the Form I-693 to USCIS, not the civil surgeon’s.

If you are applying for adjustment of status: Submit Form I-693 with your Form I-485, Application to Register for Permanent Residence or Adjust Status, as detailed in the Form I-485 instructions.

Other applicants: Follow the instructions on or included with the application or the instructions given to you by the office requesting the medical examination.

Filing Fee

$0. Note that USCIS does not regulate fees charged by civil surgeons for medical examinations. Fees may vary by physician.

Special Instructions

Medical examinations completed on or after January 1, 2012, must be reported using a version of I-693 no older than 10/11/11. If a medical examination completed on or after January 1, 2012, is submitted using any version older than 10/11/11, USCIS will reject the form, and require the applicant to return to the civil surgeon in order to complete and resubmit the current version of Form I-693.

USCIS requires most applicants seeking to adjust to lawful permanent resident status to submit the results of a medical examination by a designated civil surgeon on Form I-693, which indicates whether an applicant is or is not inadmissible to the United States on public health grounds.

Note: The results of the medical examination are generally valid for only 12 months. Applicants should schedule the medical examination as close as possible to the time they file for adjustment of status, but provide sufficient time for the performance of laboratory testing or additional testing required under CDC's Technical Instructions.

For detailed information about the medical examinations:

  • Applicants - Visit the Immigration Medical Examinations page linked on the right.
  • Civil Surgeons - Visit the Designated Civil Surgeons Page linked on the right to find update letters issued by USCIS as well as detailed information about the examination and useful links.

This page can be found at

Last Reviewed/Updated: 04/17/2013